Advanced Family Eyecare Inc
LBN: Advanced Family Eyecare Inc
Advanced Family Eyecare Inc is an health care organization with primary practice located at 2245 Long St , Sweet Home OR 97386-2845. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Advanced Family Eyecare Inc can be contacted via phone (541) 367-2188, or through Stoner, Michael Wayne via phone (541) 367-2188.
Contact Information
Primary practice address
2245 Long St
Sweet Home OR 97386-2845
Phone: (541) 367-2188
Fax: (541) 367-2189
Website:
Authorized official contact:
Name: Stoner, Michael Wayne Doctor of Optometry (OD)
Phone: (541) 367-2188
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2480ATI | Oregon |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 2480ATI | Oregon |
Profile Details
| NPI number | 1174705438 |
|---|---|
| LBN Legal business name | Advanced Family Eyecare Inc |
| DBA Doing business as | |
| Authorized official | Stoner, Michael Wayne Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Aug 2nd, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174705438 | NPPES |
| Other | 1C 4545640001 | DMERC | |
| Other | 1160810-1 | DMERC | |
| MEDICAID | 046719 | DMERC | |
| Other | 212671 | DMERC |
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